Organization · Type 2 NPI

Beverly Farm Foundation

Intellectual Disabilities Intermediate Care Facility · Godfrey, IL

NPI number 1376618082 Active

Practice location

212 Bachman Ln
Godfrey, IL 62035-2122

Call (618) 466-0367 Map

Fax (618) 466-3652

Mailing address

6301 Humbert Rd
Godfrey, IL 62035-2163

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X0036947 (IL)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1376618082

Beverly Farm Foundation's National Provider Identifier is 1376618082, issued on Nov 21, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Godfrey, IL. The record was last updated on Aug 25, 2016.